Healthcare Provider Details

I. General information

NPI: 1376766444
Provider Name (Legal Business Name): METROCARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1353 N WESTMORELAND RD COTTAGE 2
DALLAS TX
75211-1655
US

IV. Provider business mailing address

1353 N WESTMORELAND RD COTTAGE 2
DALLAS TX
75211-1655
US

V. Phone/Fax

Practice location:
  • Phone: 214-333-7031
  • Fax:
Mailing address:
  • Phone: 214-333-7031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. CAROL ANN MCELHANNON
Title or Position: QMHP
Credential: BA
Phone: 214-317-5775